Lenka Vyroubalova Cech, CNM
Individual provider Active NPI Advanced Practice Midwife · Aberdeen, WA
NPI 1407398647 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1407398647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- AP61151481 (WA)
- Practice address
- 2109 Sumner Ave
Aberdeen, WA 98520-3600 - Phone
- (360) 532-8631
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200228001778 | CO | Order and Referring Only - Certified Nurse Midwife (CNM) | 8820425044 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1617235 | CO | MD | Registered Nurse |
| APN.0992342-CNM | CO | MD | Advanced Practice Midwife |
| AP61151481 | WA | MD | Advanced Practice Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.1617235 | CO | |
| Advanced Practice Midwife | 367A00000X | APN.0992342-CNM | CO | |
| Advanced Practice Midwife | 367A00000X | AP61151481 | WA | Yes |
Addresses
Primary practice location
2109 Sumner Ave
Aberdeen, WA 98520-3600
Mailing address
2255 S Oneida St
Denver, CO 80224-2522
Phone (303) 360-6276
Other practice location 1
236 Agate Ave
Granby, CO 80446
Phone (970) 887-2454
Other practice location 2
3292 Peoria St
Aurora, CO 80010-1517
Phone (303) 360-6276
Other names
- Lenka Vyroubalova
Other providers in Aberdeen, WA
- Leslie Loeta Carron
- Kristy Carruth
- Jayla Rae Case
- Catholic Community Services of Western Washington
- Catholic Community Services of Western Washington
- Christine Celeste
- Chandler & Chandler Inc PS
- Gary D Chandler
- Coleen Marie Chapin
- Natasha Chapin
All providers in Aberdeen, WA · Advanced Practice Midwife in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.